Skip to content

Oklahoma Medicaid

Does Oklahoma Medicaid cover Mounjaro for Type 2 Diabetes?

Yes. Oklahoma Medicaid covers Mounjaro for type 2 diabetes with prior authorization. Other policy requirements and your plan's benefits also apply.

Policy document

  • Medicaid: Covered with requirements. See the qualification pathways below.

Earliest policy review June 4, 2026. How we verify · Check your exact plan

Full requirements: Mounjaro for Type 2 Diabetes (1 plan type)

Applies to Medicaid plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

GIP/GLP-1 Special PA for T2DM — stabilized on requested product

All of:

  • FDA approved diagnosis of type 2 diabetes mellitus
  • Member is currently stabilized on the requested product (documentation must be provided)

GIP/GLP-1 Special PA for T2DM — cannot use lower-tiered GLP-1/GIP-GLP-1 agonists

All of:

  • FDA approved diagnosis of type 2 diabetes mellitus
  • Patient-specific, clinically significant reason (other than convenience) why member cannot use all available lower-tiered GLP-1 or GIP/GLP-1 agonists

Documentation to bring

  • Documentation of FDA approved type 2 diabetes mellitus diagnosis
  • Documentation that member is currently stabilized on the requested product OR patient-specific, clinically significant reason why member cannot use all available lower-tiered GLP-1 or GIP/GLP-1 agonists

Policy note: Mounjaro (tirzepatide) appears in the GIP/GLP-1 Agonists table as a Tier-2 (Special PA) product. The Special PA criteria for GLP-1 Agonists and GIP/GLP-1 Agonists apply. The underlying Tier-2 antidiabetic criteria require T2DM diagnosis and at least 3-month metformin trial (unless intolerable) or a clinically significant reason. A clinical exception applies for medications with a unique FDA approved indication not covered by all Tier-2 and Tier-3 GLP-1 or GIP/GLP-1 agonists. No quantity limits specified in this document for Mounjaro specifically.

verified June 4, 2026 · source: Policy 385 · View policy document (PDF)

Open on its own page →

Questions people ask
Does Oklahoma Medicaid cover Mounjaro?
Yes. Oklahoma Medicaid covers Mounjaro for type 2 diabetes with prior authorization. Other policy requirements and your plan's benefits also apply.
How current is this information?
The oldest review date among the policies on this page is June 4, 2026. Each policy's effective and verification dates appear with its requirements. Confirm current benefits with your plan.

Also under Oklahoma Medicaid: Ozempic, Wegovy, Zepbound

Mounjaro under other plans: HCSC, Alabama Medicaid, Arkansas Medicaid, California Medicaid, Colorado Medicaid, Connecticut Medicaid, Delaware Medicaid, Florida Medicaid

All insurance plans · All medications

Summary of Oklahoma Medicaid's written policy, not a guarantee of coverage. Plans vary by employer and benefit design.